中医药防治梅尼埃病急性发作期的诊疗策略及思考  

Diagnosis and treatment strategy and thinking of TCM in the acute exacerbation of Meniere's disease

作　　者：黄坡 郭玉红[1] 赵京霞[3] 刘清泉[1,3] HUANG PO;GUO Yu-hong;ZHAO Jing-xia;LIU Qing-quan(Beijing Hospital of TCM Affiliated to Capital Medical University,Beijing 100010,China;Capital Medical University,Beijing 100069,China;Beijing key Laboratory,Beijing Institute of Traditional Chinese Medicine,Basic Research on Infectious Diseases in TCM,Beijing 100010,China)

机构地区：[1]首都医科大学附属北京中医医院,北京100010 [2]首都医科大学,北京100069 [3]北京市中医研究所中医感染性疾病基础研究北京市重点实验室,北京100010

出　　处：《中华中医药杂志》2018年第12期5490-5492,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：北京市医院管理局重点医学专业发展计划(No.ZYLX201611)~~

摘　　要：探讨梅尼埃病急性发作期的病机,寻找更加优化的治法与方药。通过中西医学的对比研究,运用取类比象的古代哲学思维方法,采取从不同的中医辨证方法入手分析梅尼埃病急性发作期的病机。从脏腑、经络、六经辨证方法分析得出,三焦是人体气-水-火-痰-湿-热的通路,类同于现代医学所讲的膜迷路;柴芩温胆汤具有宣通三焦,畅达少阳之效。三焦郁阻为梅尼埃病急性发作期的主要病机,柴芩温胆汤可作为梅尼埃病急性发作期的主方。To discuss the pathogenesis of acute exacerbation of Meniere's disease and search for more optimized therapies and prescriptions.Through the comparative study of Chinese and western medicine,the ancient philosophical thinking method of methodology of analogy and different syndrome differentiation methods were used to analysis the pathogenesis of acute exacerbation of Meniere's disease.Through the syndrome differentiation methods of zang-fu viscera,channel theory and six channels theory,we know that sanjiao is the pathway of qi-water-fire-phlegm-dampness-heat,which is similar to what modern medicine tells us about membranous labyrinth.Chaiqin Wendan Decoction has the function of adjusting sanjiao and Shaoyang. Sanjiao-stagnation is the main pathogenesis of acute exacerbation of Meniere's disease.Chaiqin Wendan Decoction could be the main prescription to treat acute exacerbation of Meniere's disease.

关 键 词：梅尼埃病急性发作期 三焦郁阻 柴芩温胆汤 

分 类 号：R276.1[医药卫生—中医五官科学]